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カワムラ ヒデマサ
KAWAMURA Hidemasa
河村 英将 所属 埼玉医科大学 医学部 総合医療センター 放射線科(画像診断・核医学科、放射線腫瘍科) 職種 教授 |
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| 論文種別 | 学術雑誌(原著) |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Implementation of a rapid response system at an isolated radiotherapy facility through simulation training |
| 掲載誌名 | 正式名：BMJ Open Quality ISSNコード：2399-6641 |
| 掲載区分 | 国外 |
| 出版社 | BMJ |
| 巻・号・頁 | 11(1),e001578-e001578頁 |
| 著者・共著者 | Hidemasa Kawamura,Yasuhiro Komatsu,Kazumi Tanaka,Masafumi Kanamoto,Masaru Tobe,Chisato Usami,Hiroshi Hinohara,Kiyohiro Oshima,Yoko Kitada,Kazuhisa Tsuda,Tomoaki Ogano,Hirofumi Shimada,Tatsuya Ohno |
| 発行年月 | 2022/01 |
| 概要 | A rapid response system is required in a radiotherapy department for patients experiencing a critical event when access to an emergency department is poor due to geographic location and the patient is immobilised with a fixation device. We, therefore, rebuilt the response system and tested it through onsite simulations. A multidisciplinary core group was created and onsite simulations were conducted using a Plan-Do-Study-Act cycle. We identified the important characteristics of our facility, including its distance from the emergency department; the presence of many staff with little direct contact with patients; the treatment room environment and patient fixation with radiotherapy equipment. We also examined processes in each phase of the emergency response: detecting an emergency, calling the medical emergency team (MET), MET transportation to the site and on-site response and patient transportation to the emergency department. The protocol was modified, and equipment was updated. On-site simulations were held with and without explanation of the protocol and training scenario in advance. The time for the MET to arrive at the site during a 2017 simulation prior to the present project was 7 min, whereas the time to arrive after the first simulation session was shortened to 5 min and was then shortened further to 4 min in the second session, despite no prior explanation of the situation. A multidisciplinary project for emergency response with on-site simulations was conducted at an isolated radiation facility. A carefully planned emergency response is important not only in heavy ion therapy facilities but also in other departments and facilities that do not have easy access to hospital emergency departments. |
| DOI | 10.1136/bmjoq-2021-001578 |
| PMID | 35017175 |
| PermalinkURL | https://syndication.highwire.org/content/doi/10.1136/bmjoq-2021-001578 |